Ševčíková Anna, Blinka Lukas, Židlická Anna, Faltýnková Anna
Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University.
Health Commun. 2023 May;38(5):958-966. doi: 10.1080/10410236.2021.1984629. Epub 2021 Oct 6.
Although sexual activity has been found to be both important and challenging for people aged 50+, relatively little is known about the concerns that they have with respect to their sexual lives and how help-seeking behavior manifests on counseling platforms. A sample of 293 sex-related queries that Czechs aged 50+ posted on professional counseling websites were subjected to a quantitative and qualitative content analysis. The majority of posts were written by men and their dominant issues were erectile difficulties, partner's lack of interest in sex, and drug use/interaction when treating sexual difficulties and other ailments. Using a thematic analysis, the study showed that sex-related concerns were based within the context of worries about maintaining relationships and re-partnering in mid- and later life, and probing for the normal aspects of aging and the associated changes in sexual health. The online setting of the counseling websites facilitated the posting of both general and personalized queries to get oriented in problems, to triangulate with previous information, and to check the treatability of difficulties when past treatments failed. These findings suggest that online counseling puts a great demand on professionals' knowledge and understanding of the specifics of later-life sexual health.
尽管已发现性活动对50岁及以上的人来说既重要又具有挑战性，但对于他们在性生活方面的担忧以及在咨询平台上寻求帮助的行为表现，我们知之甚少。对293条50岁及以上的捷克人在专业咨询网站上发布的与性相关的问题进行了定量和定性的内容分析。大多数帖子是男性撰写的，他们主要关注的问题是勃起困难、伴侣对性缺乏兴趣，以及在治疗性困难和其他疾病时药物的使用/相互作用。通过主题分析，该研究表明，与性相关的担忧基于对中年及老年维持关系和重新寻找伴侣的担忧，以及探究衰老的正常方面和性健康的相关变化。咨询网站的在线环境便于发布一般性和个性化的问题，以便了解问题、与先前信息进行核实，并在过去的治疗失败时检查困难的可治疗性。这些发现表明，在线咨询对专业人员关于晚年性健康细节的知识和理解提出了很高的要求。
